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目的:对2012年1月至12月某院的290例手足口病住院患者医疗费用进行分析,为医疗卫生相关管理部门与社保部门了解该病的医药费用,随之制定相应的措施及对医药费用的控防提供一定参考。方法:从广东省医院病案统计管理系统(V4.0)中按照国际疾病分类办法(ICD-10)输出手足口病病种数据,方法为描述性统计及多元逐步回归分析法。结果:费用构成的前三项为药费、化验费占和诊疗费,三项合计占73.8%;有合并症的平均住院费用为3874元/人次,比非合并症的病例高1690.7元/人次。结论:降低住院费用可以缩短辅助检查时间、防止院内感染;合理用药;各个临床科室应自己本专科的临床需要有针对性地选择检查指标,降低检验费用。
OBJECTIVE: To analyze the medical expenses of 290 hand-foot-mouth disease inpatients from January to December 2012 in a hospital and to understand the medical expenses of the disease for the related departments of health care and social security and to formulate corresponding measures, Control of costs provide some reference. Methods: The disease data of hand-foot-mouth disease were output according to the International Classification of Diseases (ICD-10) from the Hospital Medical Record Management System of Guangdong Province (V4.0). The methods were descriptive statistics and multivariate stepwise regression analysis. Results: The first three items of cost constitute medical expenses, laboratory expenses and medical expenses, accounting for 73.8% of the total. The average cost of hospitalization with complications is 3874 yuan / person, which is 1690.7 yuan higher than non-complication cases . Conclusion: To reduce the cost of hospitalization can reduce the time of auxiliary examination to prevent nosocomial infections; rational use of drugs; each clinical department should choose the clinical indicators of its own specialty to reduce the cost of examination.